Compassion-focused self-help for skin conditions in individuals with insecure attachment: a pilot evaluation of acceptability and potential effectiveness

Krasuska, Marta; Lavda, A.; Thompson, Andrew R.

doi:10.1111/bjd.15934

Cited by 4 publications

(3 citation statements)

References 8 publications

(9 reference statements)

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“…A major limitation of this study is the high rate of attrition (>65%). Attrition is often high in studies testing self-help interventions within populations with visible differences ( 49 – 51 ), as well as in the wider literature on self-help ( 52 , 53 ), with pure self-help interventions typically reporting lower rates of attrition when compared to wait-list controls and facilitated interventions ( 50 , 54 ). However, attrition in our study was higher than attrition reported in previous trials of EYH.…”

Section: Discussionmentioning

confidence: 99%

A brief online writing intervention improves positive body image in adults living with dermatological conditions

2022

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IntroductionDermatological conditions can affect how individuals feel about their bodies. This research therefore seeks to evaluate the potential for a brief writing intervention, focused on body functionality, to improve body image in adults living with a range of dermatological conditions.MethodsAs part of a parallel Randomised Controlled Trial, 451 adults living with a dermatological condition were randomized to either three functionality-based writing tasks or three creative writing tasks (control). Of these, 155 participants completed pre- and post-intervention measures of body appreciation, functionality appreciation, appearance anxiety, skin-related shame, and skin-related quality-of-life.ResultsFor participants with relatively low or mid-range scores on baseline body appreciation and functionality appreciation, there were medium-to-large positive effects of the intervention. Effects were smaller, with all but-one remaining significant, at 1-month follow up and in intention-to-treat analyses. No between-group effects of the intervention were found for measures of appearance anxiety, skin-related shame, and skin-related quality-of-life.DiscussionThese findings suggest that a 1-week writing intervention has the potential to improve positive aspects of body image, but not appearance- and skin-related distress in adults living with a dermatological condition.Clinical trial registration[https://clinicaltrials.gov/ct2/history/NCT044459 74?V_3=View], identifier [NCT04445974].

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Section: Discussionmentioning

confidence: 99%

A brief online writing intervention improves positive body image in adults living with dermatological conditions

2022

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“…Some researchers believe that combining mindfulness and self‐compassion can target shame and self‐criticism, those core problematic responses to psoriasis 23 . However, there are only three small‐scale randomized controlled trials investigating the impact of compassion‐focused approaches with skin conditions, and all have shown promising results, particularly in lowering shame, depression, and skin complaints 23–25 …”

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confidence: 99%

“…23 However, there are only three small-scale randomized controlled trials investigating the impact of compassion-focused approaches with skin conditions, and all have shown promising results, particularly in lowering shame, depression, and skin complaints. [23][24][25] One way to further increase knowledge about the combined role of mindfulness and self-compassion is by testing these processes as an adjunct programme for patients with psoriasis, delivered in a form of self-help intervention. Self-help interventions can be particularly important as a first-step approach for individuals with mild level of distress.…”

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confidence: 99%

A randomized controlled feasibility trial of online compassion‐focused self‐help for psoriasis*

2022

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Summary Background People with psoriasis can experience psychological distress that might be amenable to psychosocial self‐help. Objectives This study tested the feasibility and acceptability of two theoretically developed self‐help interventions designed to reduce feelings of shame and improve quality of life. Methods A randomized controlled feasibility trial was conducted comprising 130 participants with psoriasis who were randomly allocated to receive either compassion‐based self‐help (n = 65) or mindfulness‐based self‐help (n = 65), over a 4‐week period. Both interventions were provided online. Results The interventions were found to be acceptable, with over 70% of study completers reporting that they found the materials helpful. Of the 130 participants, 92 completed the study, with attrition at 29%. Both interventions showed modest yet statistically significant reductions in shame (Cohen’s d = 0.20) and improvements in quality of life (Cohen’s d = 0.40). Conclusions Self‐help based on compassion and mindfulness is acceptable to users, and can reduce feelings of shame and improve quality of life for people living with psoriasis. What is already known about this topic? Psoriasis can be associated with psychological distress. Various forms of psychological intervention have been tested; however, few compassion based interventions have been developed or trialled. What does this study add? This study demonstrates that compassion‐based self‐help is acceptable to people with psoriasis. This study provides provisional evidence of effectiveness of compassion based self‐help in reducing feelings of shame and improving quality of life for people living with psoriasis.

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Effects of Attachment-Based Compassion Therapy (ABCT) on Self-compassion and Attachment Style in Healthy People

et al. 2018

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Attachment-based compassion therapy (ABCT) is a new protocol of compassion based on attachment theory. The aim of this study was to assess the efficacy of this protocol for improving self-compassion in a healthy population and determine whether improvements in self-compassion mediate changes towards a more secure attachment style. The study consisted of a nonrandomized controlled trial with an intervention group (ABCT) and a waiting-list control group. In addition to pre-and post-intervention assessments, a sixmonth follow-up assessment was included. Participants were healthy adults attending ABCT courses who self-rated as not having any psychological disorders and self-reported as not receiving any form of psychiatric treatment. Compared to the control condition, ABCT was significantly more effective for improving self-compassion as evidenced by changes on all subscales on the Self-Compassion Scale (SCS), except isolation. Effect sizes were in the moderate to large range and correlated with the number of sessions received. ABCT also led to improvements across all subscales of the Five Facets of Mindfulness Questionnaire (FFMQ), except describing. ABCT decreased psychological disturbance assessed using the General Health Questionnaire (GHQ-28) and decreased experiential avoidance assessed using the Acceptance and Action Questionnaire (AAQ-II). Furthermore, ABCT led to significant reductions in levels of anxiety and avoidance.Secure attachment style significantly increased in the ABCT group, and was mediated by changes in self-compassion. In summary, ABCT may be an effective intervention for improving compassion and attachment style in healthy adults in the general populations.

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Compassion-focused self-help for skin conditions in individuals with insecure attachment: a pilot evaluation of acceptability and potential effectiveness

Cited by 4 publications

References 8 publications

A brief online writing intervention improves positive body image in adults living with dermatological conditions

A brief online writing intervention improves positive body image in adults living with dermatological conditions

A randomized controlled feasibility trial of online compassion‐focused self‐help for psoriasis*

Effects of Attachment-Based Compassion Therapy (ABCT) on Self-compassion and Attachment Style in Healthy People

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